Gentle Soul Guest Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENTLE SOUL GUEST HOME LLC

Practice address

699 Winners Cir
San Jacinto, CA 92582-2741

Phone

(951) 473-0590

NPI assigned

Mar 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Julita Rodriguez

Title

Managing Member/Owner

Phone

(951) 473-0590

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1902665383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29831 MOONDANCE WAY",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863613",
            "telephone_number": "951-473-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WINNERS CIR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822741",
            "telephone_number": "951-473-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE SOUL GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JULITA",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "951-473-0590",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.